Comprehensive Transsexual Survey

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This survey is meant for transsexuals who are or plan to medically transition. The goal of this survey is to collect as much data as possible about transitioning transsexuals.

Several questions on this survey are only intended for one gender or another. Please read the titles carefully and make sure you only answer questions intended for you.

The Basics

Which best describes you? *

Male-to-female transsexual (MTF)

Female-to-male transsexual (FTM)

Non-binary AMAB but still transitioning medically (Assigned male at birth)

Non-binary AFAB but still transitioning medically (Assigned female at birth)

How old are you?

11-15 years old

16-20 years old

21-25 years old

26-30 years old

31-35 years old

36-40 years old

41+ years old

Clear selection

Sexual Orientation: MTF

Question for MTFs only.

Straight

Lesbian

Bisexual

I have no sexual attraction to either gender.

Clear selection

Sexual Orientation: FTM

Question for FTMs only.

Straight

Gay

Bisexual

I have no sexual attraction to either gender.

Clear selection

Sexual Orientation: Non-binary AMAB

Question for non-binary assigned male at birth participants only.

Androphilic (Attracted only to men)

Gynophilic (Attracted only to women)

Bisexual

I have no sexual attraction to either gender.

Clear selection

Sexual Orientation: Non-binary AFAB

Question for non-binary assigned female at birth participants only.

Androphilic (Attracted only to men)

Gynophilic (Attracted only to women)

Bisexual

I have no sexual attraction to either gender.

Clear selection

Dysphoria

The following questions will ask about various types of dysphoria and how it effects you. Dysphoria can manifest as feelings of depression, discontent, anxiety, stress, or detachment.

Some questions will ask if dysphoria has been alleviated due to transition. Choose this option if transition has significantly reduced your dysphoria, even if you still feel it every once in a while.

Do you experience dysphoria?

Yes

I used to, but transition has alleviated it.

Clear selection

At what age did your dysphoria start?

0-5 years old

6-10 years old

11-15 years old

16-20 years old

21-25 years old

26-30 years old

31-35 years old

36-40 years old

41+ years old

I never had dysphoria.

Clear selection

Are social interactions a source of dysphoria for you?

Yes

It used to be, but transition has alleviated it.

Clear selection

Is your body a source of dysphoria for you?

Yes

It used to be, but transition has alleviated it.

Clear selection

Are your genitals a source of dysphoria for you?

Yes

It used to be, but transition has alleviated it.

Clear selection

Check all of the options that are a source of dysphoria for you.

My face

My body

My voice

My genitals

Having sex

Social interactions

Being misgendered

Clothing not fitting right

Being forced to wear clothing of birth sex

Bathing

Using the bathroom at home

Using the bathroom in public

Does dysphoria interfere with your nonsexual relationships?

Yes

It used to, but transition has alleviated it.

Clear selection

Does dysphoria interfere with your romantic or sexual relationships?

Yes

It used to, but transition has alleviated it.

Clear selection

Have you ever avoided dating because of dysphoria?

Yes

I used to, but transition has alleviated it.

Clear selection

Have you ever avoided sex because of dysphoria?

Yes

I used to, but transition has alleviated it.

Clear selection

Have you ever seriously considered suicide?

Yes

Clear selection

Have you ever attempted suicide?

Yes, once.

Yes, multiple times.

No.

Clear selection

HRT (Hormone Replacement Therapy)

Are you currently undergoing HRT? (Hormone replacement therapy)

Either with doctor supervision or not.

Yes

I am in the process of trying to acquire hormones.

I was on hormones but stopped, temporarily.

I was on hormones but stopped, permanently.

Clear selection

If you were on hormones and stopped- why?

Please only answer this question if you were on hormones at one point and then stopped.

I realized that I had been mistaken about my gender identity.

I have achieved the results I wanted and do not need them anymore.

Family or friends pressured me to stop.

I did not like some of the emotional or mental changes caused by HRT.

I did not like some of the physical changes caused by HRT.

I could not afford it.

I had to stop in order to find work.

I had to stop because of health problems.

I did not pass well enough to continue with transition.

Other:

How did you aquire hormones or anti-androgens?

A therapist, psychologist, or other type of mental health professional who had experience with transgender clients referred me to a doctor who prescribed hormones, or gave me a letter of recommendation that I took to my own doctor.

A therapist, psychologist, or other type of mental health professional who did not have experience with transgender clients referred me to a doctor who prescribed hormones, or gave me a letter of recommendation that I took to my own doctor.

A doctor prescribed hormones without requiring any therapy or evaluation. (Informed Consent)

I self-med. (Buying hormones online or otherwise without a prescription.)

N/A - I have never taken hormones or anti-androgens.

Clear selection

How long have you been undergoing HRT?

Less than 1 year

1 year

2 years

3 years

4 years

5 years

6 years

7 years

8+ years

I am not undergoing HRT.

Clear selection

Do you pass as your target gender?

"Passing" refers to your ability to succesfully blend in as your target gender.

Yes

Sometimes

I prefer an androgynous presentation/I do not attempt to pass as either gender.

Clear selection

For those currently or previously on hormones: Do you believe that HRT improved your quality of life?

Yes, it improved my quality of life a little.

Yes, it improved my quality of life a lot.

No, my quality of life was basically unchanged.

No, it made my quality of life a little worse.

No, it made my quality of life much worse.

Clear selection

For those currently or previously on hormones: Do you believe that HRT reduced your dysphoria?

Yes, it reduced my dysphoria a little.

Yes, it reduced my dysphoria lot.

No, my dysphoria is basically unchanged.

No, it made my dysphoria a little worse.

No, it made my dysphoria much worse.

Clear selection

Medical Transition

At what age did you realize you were transgender?

0-5 years old

6-10 years old

11-15 years old

16-20 years old

21-25 years old

26-30 years old

31-35 years old

36-40 years old

41+ years old

Clear selection

At what age did you begin transitioning?

0-5 years old

6-10 years old

11-15 years old

16-20 years old

21-25 years old

26-30 years old

31-35 years old

36-40 years old

41+ years old

I have not begun transition yet, but plan to.

I have not begun transition and I do not plan to.

Clear selection

Do you intend to have SRS? (Sex reassignment surgery)

Yes

I have already had SRS

Clear selection

If you answered no to the previous question, please indicate why you do not intend to have SRS.

You may check more than one option.

I like my genitals.

I do not like my genitals, but I can live with it.

SRS is too expensive.

The results of SRS are not good enough.

There are too many risks associated with SRS.

My body is not passable enough.

Other:

MTF: Please indicate which of the following you have done:

Coming out

Seeing a psychologist or doctor

Legal name change

Changing pronouns

Changing gender on ID/legal documents

HRT

Orchiectomy

FFS (Facial feminization surgery)

Tracheal shave

Laser hair removal

Breast augmentation

Fat grafting/silicone injections

SRS (sex reassignment surgery)

MTF: Please indicate which of the following you intend to do in the future:

Coming out

Seeing a psychologist or doctor

Legal name change

Changing pronouns

Changing gender on ID/legal documents

HRT

Orchiectomy

FFS (Facial feminization surgery)

Tracheal shave

Laser hair removal

Breast augmentation

Fat grafting/silicone injections

SRS (sex reassignment surgery)

FTM: Please indicate which of the following you have done:

Coming out

Seeing a psychologist or doctor

Legal name change

Changing pronouns

Changing gender on ID/legal documents

HRT

Oophorectomy

Hysterectomy

Top Surgery (chest reconstruction/breast removal)

Body Contouring

SRS (sex reassignment surgery)

FTM: Please indicate which of the following you intend to do in the future:

Coming out

Seeing a psychologist or doctor

Legal name change

Changing pronouns

Changing gender on ID/legal documents

HRT

Oophorectomy

Hysterectomy

Top Surgery (chest reconstruction/breast removal)

Body Contouring

SRS (sex reassignment surgery)

Non-binary AMAB: Please indicate which of the following you have done:

For non-binary particpants assigned male at birth.

Coming out

Seeing a psychologist or doctor

Legal name change

Changing pronouns

Changing gender on ID/legal documents

HRT

Orchiectomy

FFS (Facial feminization surgery)

Tracheal shave

Laser hair removal

Breast augmentation

Fat grafting/silicone injections

SRS (sex reassignment surgery)

Non-binary AMAB: Please indicate which of the following you intend to do in the future:

For non-binary particpants assigned male at birth.

Coming out

Seeing a psychologist or doctor

Legal name change

Changing pronouns

Changing gender on ID/legal documents

HRT

Orchiectomy

FFS (Facial feminization surgery)

Tracheal shave

Laser hair removal

Breast augmentation

Fat grafting/silicone injections

SRS (sex reassignment surgery)

Non-Binary AFAB: Please indicate which of the following you have done:

For non-binary particpants assigned female at birth.

Coming out

Seeing a psychologist or doctor

Legal name change

Changing pronouns

Changing gender on ID/legal documents

HRT

Oophorectomy

Hysterectomy

Top Surgery (chest reconstruction/breast removal)

Body Contouring

SRS (sex reassignment surgery)

Non-binary AFAB: Please indicate which of the following you intend to do in the future:

For non-binary particpants assigned female at birth.

Coming out

Seeing a psychologist or doctor

Legal name change

Changing pronouns

Changing gender on ID/legal documents

HRT

Oophorectomy

Hysterectomy

Top Surgery (chest reconstruction/breast removal)

Body Contouring

SRS (sex reassignment surgery)

Experiences With The Medical Community

Are you American?

Yes

Clear selection

Have you had any negative experiences with mental health professionals in relation to your gender identity?

This includes therapists, psychologists, counselors, etc that you were seeing in regards to your gender identity or transition. Check all that apply.

A mental health professional did not really understand transsexualism, but was honest about their inexperience.

A mental health professional did not really understand transsexualism, but acted as if they did.

A mental health professional had unrealistic or archaic requirements for allowing me to move forward with my transition.

A mental health professional willfully misgendered me despite being aware of my preferred name/pronouns.

I was denied service.

I have not had any significant negative experiences with a mental health professional in relation to my gender identity.

I have never been to any kind of mental health professional in regards to my gender identity or transition.

Other:

Have you had any negative experiences with hospital staff in relation to your gender identity?

This includes doctors, nurses, receptionists, and any other staff you interacted with in a hospital. Check all that apply.

A hospital staff member willfully misgendered me despite being aware of my preferred name/pronouns.

I was asked an invasive question regarding my gender identity, my genitals, or my transition that had nothing to do with my reason for being in the hospital.

A hospital staff member became rude or ignored me after discovering I was transgender.

I was denied service.

I have not had any significant negative experiences with hospital staff in relation to my gender identity.

Other:

How long were you in therapy/seeing a mental health professional before you were allowed to start HRT?

When calculating the time, please only include time you were seeing a specific mental health professional with the goal of starting HRT. (If you saw a therapist for depression for 3 months and then came out as trans to them, don't count those 3 months.)

I have not started/don't intend to start HRT.

I started HRT without the help of a mental health professional.

Less than 1 month

1-3 months

4-6 months

6-12 months

Longer than a year

Clear selection

Were you required to do a "real life test" before starting HRT, and if so, for how long?

Real life test refers to dressing and living as your target gender before starting hormones, to gauge how you react.

I have not started/don't intend to start HRT.

I started HRT without the help of a mental health professional and as such was not required to do a real life test.

I was not required to do a real life test before starting HRT.

Less than 1 month

1-3 months

4-6 months

6-12 months

Longer than a year

Clear selection

Are your hormones or anti-androgens covered by your health insurance?

Yes, partially.

Yes, all of it.

I don't have health insurance.

I am not prescribed hormones or anti-androgens.

Clear selection

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